Active NPI
Khadija's Kozy Korner
- Contractor
- Milwaukee, WI
National Provider Identifier
1578474730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Legal business name
- KHADIJA'S KOZY KORNER
- Practice address
- 8320 W Lisbon Ave
Milwaukee, WI 53222-3866 - Phone
- (414) 808-0081
- Fax
- (262) 364-3319
- NPI assigned
- Sep 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raqiba Malik
- Title
- Ceo
- Phone
- (414) 301-0020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
8320 W Lisbon Ave
Milwaukee, WI 53222-3866
Mailing address
8320 W Lisbon Ave
Milwaukee, WI 53222-3866
Phone (414) 808-0081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1578474730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8320 W LISBON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532223866",
"telephone_number": "414-808-0081",
"fax_number": "262-364-3319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8320 W LISBON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532223866",
"telephone_number": "414-808-0081",
"fax_number": "262-364-3319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHADIJA'S KOZY KORNER",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "MALIK",
"authorized_official_first_name": "RAQIBA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "414-301-0020"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.